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Nabiah Sohail
Highly Specialist Speech and Language Therapist
Outcome Measures & North Primary Locality Lead
Children’s Integrated Speech & Language Therapy Service for Hackney & the City
Hackney
Outcomes
Project
Is anyone better off?
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Children’s Integrated Speech and Language
Therapy Service for Hackney and the City
• External Review 2003
• Restructure
• Locally and nationally recognised service
• ….but are we making a difference?
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Outcomes
The Commissioning Context
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Phase 1Needs assessment and
strategic planning
Phase 2Shaping and managing
the market
Phase 3Improving performance,
monitoring andevaluating
Becoming a Bercow Pathfinder
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• Locally funded
• Steering group
• Supported by
commissioners
The Context Changed!
Hackney
Outcomes
Project
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• Flexibility
• Responsiveness
• Bottom-up
• Practical
Taking an Action Research Approach
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What tools can be used to measure the outcomes delivered by
the whole SLT service and how can they be best reported to our
multiple commissioners?
A series of research cycles:
• Theoretical models of outcome measurement
• Research into existing outcome measures
• A pilot phase trialling chosen outcome measurement tools
• An exploration of how best to collate and present data
Taking an Action Research Approach
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What theoretical models relating to outcome measurement are
relevant to our service and which theoretical model would be
best used to frame our outcome measurement tool?
• Models that frame the service model
• Models that articulate, organise and collate outcomes
Cycle One: A Grounding in Theory
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The Language TrapToo many terms. Too few definitions. Too little discipline
Benchmark
Target
Indicator Goal
Result
Objective
Outcome
Measure
Modifiers
Measurable CoreUrgent Qualitative
Priority Programmatic
Targeted Performance
Incremental Strategic
Systemic
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Cycle Two: Research Phase
Engagement with Hackney Commissioners
Survey of other SLT and Allied Health Services
Survey of Hackney SLT Team
Focus Groups with Schools & Academies
Consultations with Parents and Carer’s
Consultative support from RCSLT and other professional networks
Are there currently outcome measurement tools in existence that we canutilise?
What additional outcome measurement tools are needed to fill the gaps?
Do we know our stakeholders well enough?
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Are the chosen outcome measurement tools
efficient and effective ways of measuring the
outcomes of our whole SLT service?
1. Defining our service specification and desired whole
service outcomes
2. Developing and refining tools to measure outcomes
Cycle Three: Pilot Phase
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How can we use our chosen framework and basket of
outcome measurements to enable us to compile and present
outcome measurements in a way that is meaningful and
useful for commissioners and other stakeholders?
Cycle Four: Collating and Presenting Data
Service improvement Self reflection
Value for money
Interest and information Enabling choice
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Outcomes is everyone’s responsibility
The RCSLT is not
solely responsible
for ‘saving’ our
profession
Managers can’t prove
the worth of their team
without their team
members
Academic’s can’t do all
the research or give allthe evidence base for
SLT
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An important part of our job…
Database
systems e.g.
RioStats e.g. lots of Excel
spread sheets
Recording Activity
e.g. Counting up
your contacts!
Outcome Tools
e.g. EKOS, TOM,
GAS, Care Aims
User satisfactione.g. phone calls to
parents
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Remember: we have to market…
Our professionOur serviceOurselves
We have to raise awareness
of who we are and what wedo and how we make a
difference!
You have skills that
can make a difference
to your service...youhave to share your
ideas and offer your
strengths…
We have to advertisewhat we can
provide? We have to
say what we are
good at. We have to
share thecompliments and the
complaints!
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April 2013
www.gethackneytalking.co.uk
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020 7683 4751
Thank-you!
QUESTIONS ?
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